| NPI | 1740625417 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY LOUIS TEGENKAMP President 850-484-2807 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: FL DO3542) |
| Enumeration Date | 2013-05-07 |
| Last Update Date | 2013-05-07 |